The Relative Efficacy of Three Cognitive-Behavioral Treatment Approaches to Temporomandibular Disorders.
Mishra, Kiran D. 1; Gatchel, Robert J. 1,2; Gardea, Margaret A. 1
[Article]
Journal of Behavioral Medicine.
23(3):293-309, June 2000.
(Format: HTML)
The purpose of this study was to evaluate the relative efficacy of different biopsychosocial treatment conditions on patients with chronic temporomandibular disorder. Ninety-four patients with chronic temporomandibular disorder were assigned to either a biofeedback treatment group, a cognitive-behavioral skills training (CBST) treatment group, a combined (combination of biofeedback/CBST) treatment group, or a no-treatment control group. Pain scores were analyzed pretreatment and posttreatment to determine group and within-subjects treatment effects. Results demonstrated that, in terms of a self-reported pain score, all three treatment groups had significantly decreased pain scores from pretreatment to posttreatment, while the no-treatment group did not. Moreover, patients in the biofeedback group were the most significantly improved compared to the no-treatment group. Finally, participants in the three treatment groups displayed significant improvement in mood states.
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